Date: March 10, 2020
To: Cost-Reporting Hospitals
Re: Hospital Cost Report Forms and Instructions
The purpose of this Informational Notice is to notify providers that the Medicaid hospital cost report forms and instructions are available on the Illinois Department of Healthcare and Family Services’ Cost Report webpage. The Medicaid hospital cost report and related Medicare cost report are due within five months after the close of the hospital’s fiscal year. No extension of the Medicaid hospital cost report due date will be granted by Healthcare and Family Services unless the Centers for Medicare and Medicaid Services (CMS) grants an extension of the due date for the related Medicare cost report. Should CMS extend the Medicare cost report due date, the Department will extend the Medicaid cost report due date by an equivalent period of time.
The downloadable Excel Medicaid hospital cost report file is accessible at the link entitled Hospital Providers. Please use the updated cost report file and instructions. Printed and electronic copies of the report from previous versions of the cost report files will not be accepted.
The completed Medicaid hospital cost report (in Excel format) and related Medicare cost report (in Adobe Acrobat pdf format) should be submitted via CD. In addition, a signed paper copy of each report must be mailed to the following address:
Bureau of Health Finance
Illinois Department of Healthcare and Family Services
201 South Grand Avenue East
Springfield, Illinois 62763
Any questions regarding this notice may be directed to the Bureau of Health Finance at
Interim Medicaid Administrator